45800 Repair rectal/bladder fistula
Also known as: rectovesical fistula repair, rectal-bladder fistula closure
Surgical repair of rectovesical fistula (abnormal connection between rectum and bladder) via abdominal approach.
In Plain Language
surgical closure of abnormal connection between rectum and bladder
Clinical Context
Surgical management of rectovesical fistula secondary to inflammatory bowel disease, trauma, or surgical complication.
RVU Breakdown
| Work RVU | 19.80 |
| Total RVU | 19.80 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 19.80, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45800?
CPT 45800 (Repair rectal/bladder fistula) is a Surgery code. Surgical repair of rectovesical fistula (abnormal connection between rectum and bladder) via abdominal approach.
What is the wRVU value for CPT 45800?
The work RVU for CPT 45800 is 19.80. This code is primarily used by Colorectal Surgery, Urology, General Surgery. It has a 90-day global period.
When is CPT 45800 used?
Surgical management of rectovesical fistula secondary to inflammatory bowel disease, trauma, or surgical complication.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.